Drugs reference index «I-Prin»

I-Prin

Generic Name: ibuprofen (Oral route)

eye-bue-PROE-fen

Oral routeTabletSuspensionCapsule, Liquid FilledTablet, Chewable

CARDIOVASCULAR RISK

NSAIDs may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk .

Ibuprofen is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery .

GASTROINTESTINAL RISK

NSAIDs cause an increased risk of serious gastrointestinal adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients are at greater risk for serious gastrointestinal events .

NSAIDs may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may be increased in patients with cardiovascular disease or risk factors for cardiovascular disease. Ibuprofen is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery. NSAIDs can also cause an increased risk of serious gastrointestinal adverse events especially in the elderly, including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal .

Intravenous routeSolution

CARDIOVASCULAR RISK

NSAIDs may increase the risk of serious cardiovascular (CV) thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk .

Ibuprofen is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery .

GASTROINTESTINAL RISK

NSAIDs increase the risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients are at greater risk for serious gastrointestinal events .

NSAIDs increase the risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may be increased in patients with cardiovascular disease or risk factors for cardiovascular disease. Ibuprofen is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery. NSAIDs can also cause an increased risk of serious gastrointestinal adverse events especially in the elderly, including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal .

Commonly used brand name(s):

In the U.S.

Addaprin

Advil

A-G Profen

Bufen

Genpril

Haltran

I-Prin

Midol

Motrin

Nuprin

Proprinal

Q-Profen

In Canada

Actiprofen

Advil Children's

Advil Pediatric

Children's Motrin

Children's Motrin Berry Flavor

Children's Motrin Bubble Gum Flavor

Children's Motrin Grape Flavor

Infants' Motrin

Available Dosage Forms:

Suspension

Tablet

Capsule, Liquid Filled

Tablet, Chewable

Capsule

Therapeutic Class: Analgesic

Pharmacologic Class: NSAID

Chemical Class: Propionic Acid (class)

Uses For I-Prin

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain, and helps to relieve symptoms of arthritis (osteoarthritis, rheumatoid arthritis, or juvenile arthritis), such as inflammation, swelling, stiffness, and joint pain. This medicine does not cure arthritis and will help you only as long as you continue to take it .

In addition, ibuprofen can be used to treat fever, menstrual cramps, and other conditions as determined by your doctor .

This medicine is available both over-the-counter (OTC) and with your doctor's prescription .

Before Using I-Prin

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of ibuprofen in children below 6 months of age. Safety and efficacy have not been established .

Geriatric

Appropriate studies performed to date have not demonstrated geriatrics-specific problems that would limit the usefulness of ibuprofen in the elderly. However, elderly patients are more likely to have age-related kidney problems, which may require adjustment of dosage in patients receiving ibuprofen .

Pregnancy

Pregnancy Category

Explanation

Breast Feeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with Medicines

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Ketorolac

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Ardeparin

Beta Glucan

Certoparin

Dalteparin

Danaparoid

Enoxaparin

Ginkgo

Methotrexate

Nadroparin

Parnaparin

Pemetrexed

Reviparin

Tacrolimus

Tinzaparin

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Acetohexamide

Alacepril

Amikacin

Amiloride

Aspirin

Azosemide

Bemetizide

Benazepril

Bendroflumethiazide

Benzthiazide

Bumetanide

Buthiazide

Candesartan Cilexetil

Canrenoate

Captopril

Chlorothiazide

Chlorpropamide

Chlorthalidone

Cilazapril

Citalopram

Clopamide

Clopidogrel

Clovoxamine

Cyclopenthiazide

Cyclosporine

Cyclothiazide

Delapril

Desipramine

Desvenlafaxine

Duloxetine

Enalaprilat

Enalapril Maleate

Eprosartan

Escitalopram

Ethacrynic Acid

Femoxetine

Flesinoxan

Fluoxetine

Fluvoxamine

Fosinopril

Furosemide

Gliclazide

Glimepiride

Glipizide

Gliquidone

Glyburide

Hydrochlorothiazide

Hydroflumethiazide

Imidapril

Indapamide

Irbesartan

Lisinopril

Lithium

Losartan

Methyclothiazide

Metolazone

Milnacipran

Moexipril

Nefazodone

Olmesartan Medoxomil

Paroxetine

Pentopril

Perindopril

Phenytoin

Piretanide

Polythiazide

Quinapril

Quinethazone

Ramipril

Sertraline

Spirapril

Spironolactone

Tacrine

Tasosartan

Telmisartan

Temocapril

Tolazamide

Tolbutamide

Torsemide

Trandolapril

Triamterene

Trichlormethiazide

Valsartan

Venlafaxine

Xipamide

Zimeldine

Zofenopril

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

Anemia or

Asthma or

Bleeding problems or

Blood clots or

Edema (fluid retention or body swelling) or

Heart attack, history of or

Heart disease (e.g., congestive heart failure) or

High blood pressure or

Kidney disease or

Liver disease (e.g., hepatitis) or

Stomach or intestinal ulcers or bleeding or

Stroke, history of—Use with caution. This medicine may make these conditions worse .

Aspirin sensitivity, history of—This medicine should NOT be used in patients with this condition .

Diabetes—Use with caution. The suspension form of this medicine contains sugar .

Heart surgery (e.g., coronary artery bypass graft [CABG] surgery)—This medicine should NOT be used to relieve pain right before or after the surgery .

Proper Use of ibuprofen

This section provides information on the proper use of a number of products that contain ibuprofen. It may not be specific to I-Prin. Please read with care.

For safe and effective use of this medicine, do not take more of it, do not take it more often, and do not take it for a longer time than ordered by your doctor. Taking too much of this medicine may increase the chance of unwanted effects, especially in elderly patients .

When used for severe or continuing arthritis, this medicine must be taken regularly as ordered by your doctor in order for it to help you. This medicine usually begins to work within one week, but in severe cases up to two weeks or even longer may pass before you begin to feel better. Also, several weeks may pass before you feel the full effects of this medicine .

To lessen stomach upset, you may take this medicine with food or milk .

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For oral dosage form (tablets and suspension):

For fever:

Children over 2 years of age—Use and dose must be determined by your doctor.

Children 6 months of age up to 2 years—Dose is based on body weight and body temperature, and must be determined by your doctor. For fever lower than 102.5 °F (39.2 °C), the dose usually is 5 milligrams (mg) per kilogram (kg) (about 2.2 mg per pound) of body weight. For higher fever, the dose usually is 10 mg per kg (about 4.5 mg per pound) of body weight. The medicine may be given every six to eight hours, as needed, up to 40 mg per kg per day.

Infants younger than 6 months of age—Use and dose must be determined by your doctor .

For menstrual cramps:

Adults—400 milligrams (mg) every four hours, as needed.

Children—Use and dose must be determined by your doctor .

For mild to moderate pain:

Adults and teenagers—400 milligrams (mg) every four to six hours, as needed.

Children over 6 months of age—Dose is based on body weight and must be determined by your doctor. The dose usually is 10 milligrams (mg) per kilogram (kg) of body weight every six to eight hours, as needed, up to 40 mg per kg per day.

Infants younger than 6 months of age—Use and dose must be determined by your doctor .

For osteoarthritis and rheumatoid arthritis:

Adults and teenagers—1200 milligrams (mg) up to 3200 mg per day divided into three or four equal doses.

Children—Dose is based on body weight and must be determined by your doctor. The dose usually is 30 milligrams (mg) to 40 mg per kilogram (kg) of body weight per day, divided into three or four doses.

Infants younger than 6 months of age—Use and dose must be determined by your doctor .

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using I-Prin

It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects .

This medicine may raise your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time might also have a higher risk .

This medicine may cause bleeding in your stomach or intestines. These problems can happen without warning signs. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, if you are over 60 years old, if you are in poor health, or if you are using certain other medicines (a steroid or a blood thinner) .

Serious skin reactions can occur during treatment with this medicine. Check with your doctor right away if you have any of the following symptoms while taking this medicine: blistering, peeling, loosening of skin, chills, cough, diarrhea, fever, itching, joint or muscle pain, red skin lesions, sore throat, sores, ulcers, white spots in mouth or on lips, or unusual tiredness or weakness .

Possible warning signs of some serious side effects that can occur during treatment with this medicine may include swelling of the face, fingers, feet, and/or lower legs; severe stomach pain, black, tarry stools, and/or vomiting of blood or material that looks like coffee grounds; unusual weight gain; yellow skin or eyes; decreased urination; bleeding or bruising; and/or skin rash. Also, signs of serious heart problems could occur such as chest pain, tightness in chest, fast or irregular heartbeat, unusual flushing or warmth of skin, weakness, or slurring of speech. Stop taking this medicine and check with your doctor immediately if you notice any of these warning signs .

This medicine may also cause a serious type of allergic reaction called anaphylaxis. Although this is rare, it may occur often in patients who are allergic to aspirin or other nonsteroidal anti-inflammatory drugs. Anaphylaxis requires immediate medical attention. The most serious signs of this reaction are very fast or irregular breathing, gasping for breath, wheezing, or fainting. Other signs may include changes in skin color of the face; very fast but irregular heartbeat or pulse; hive-like swellings on the skin; and puffiness or swelling of the eyelids or around the eyes. If these effects occur, get emergency help at once .

Some people who have used this medicine had symptoms of meningitis. If you have fever, headache, nausea, vomiting, and stiff neck or back while using this medicine, check with your doctor right away .

Using this medicine while you are pregnant can harm your unborn baby. If you think you have become pregnant while using this medicine, tell your doctor right away .

Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after your treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor) .

Before having any kind of surgery or medical tests, tell your doctor that you are taking this medicine. It may be necessary for you to stop treatment for a while, or to change to a different nonsteroidal anti-inflammatory drug before your procedure .

I-Prin Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

Abdominal pain

acid or sour stomach

belching

bloating

cloudy urine

decrease in amount of urine

decrease in urine output or decrease in urine-concentrating ability

diarrhea

difficulty having a bowel movement (stool)

excess air or gas in stomach or intestines

full feeling

heartburn

indigestion

itching skin

pain or discomfort in chest, upper stomach, or throat

pale skin

passing gas

nausea

noisy, rattling breathing

rash with flat lesions or small raised lesions on the skin

shortness of breath

swelling of face, fingers, hands, feet, lower legs, or ankles

troubled breathing at rest

troubled breathing with exertion

unusual bleeding or bruising

unusual tiredness or weakness

vomiting

weight gain

Less common

Abdominal cramps

stomach soreness or discomfort

Rare

Agitation

back, leg, or stomach pains

bleeding gums

blistering, peeling, loosening of skin

blood in urine or stools

bloody, black, or tarry stools

blurred vision

burning feeling in chest or stomach

change in vision

chest pain

chills

clay-colored stools

coma

confusion

constipation

cough or hoarseness

dark urine

decreased urine output

depression

difficulty breathing

difficulty swallowing

dilated neck veins

dizziness

dry mouth

extreme fatigue

fast, irregular, pounding, or racing heartbeat or pulse

fever with or without chills

frequent urination

general body swelling

general feeling of tiredness or weakness

hair loss, thinning of hair

headache

hives or welts

hostility

impaired vision

increased blood pressure

increased volume of pale, dilute urine

irregular breathing

irritability

itching

joint or muscle pain

lab results that show problems with liver

lethargy

light-colored stools

loss of appetite

lower back or side pain

muscle twitching

nosebleeds

painful or difficult urination

pains in stomach, side, or abdomen, possibly radiating to the back

pinpoint red spots on skin

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

rash

red skin lesions, often with a purple center

red, irritated eyes

redness of skin

seizures

severe abdominal pain, cramping, burning

severe and continuing nausea

sore throat

sores, ulcers, or white spots in mouth or on lips

stiff neck or back

stomach upset

stupor

swollen or painful glands

tenderness in stomach area

thirst

tightness in chest

unpleasant breath odor

upper right abdominal pain

vomiting of blood

vomiting of material that looks like coffee grounds

wheezing

yellow eyes and skin

Symptoms of overdose

Bluish lips or skin

difficulty sleeping

disorientation

dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly

drowsiness to profound coma

hallucination

lightheadedness or fainting

mood or other mental changes

muscle tremors

not breathing

rapid, deep breathing

restlessness

slow or irregular heartbeat

stomach cramps

sudden fainting

sweating

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Continuing ringing or buzzing or other unexplained noise in ears

hearing loss

nervousness

Rare

Crying

depersonalization

discouragement

dry eyes

dysphoria

euphoria

feeling sad or empty

lack of appetite

loss of interest or pleasure

mental depression

paranoia

quick to react or overreact

rapidly changing moods

runny nose

sleepiness or unusual drowsiness

sleeplessness

sneezing

stuffy nose

trouble concentrating

trouble sleeping

unable to sleep

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products.